Andhra Pradesh Administrative Tribunal (Procedure) Rules, 1989
34. APPENDIX A
APPENDIX A
FORM I
[See rule 4]
APPLICATION UNDER SECTION 19 OF THE ADMINISTRATIVE TRIBUNALS ACT, 1985
Title of the Case:
INDEX
Date of filing ordate of Receipt by post Registration No.
Signature for Registrar.
IN THE ANDHRA PRADESH ADMINISTRATIVE TRIBUNAL BENCH BETWEEN A B APPLICATION AND C D RESPONDENT DETAILS OF APPLICATION:
1. Particulars of the applicant
(i) Name of the applicant
(ii) Name of the Father/Husband
(iii) Age of the applicant
(iv) Designation and particulars of office (name and station) in which employed/or was last employed before ceasing to be in service.
(v) Office address
(vi) Address for service of notices
2. Particulars of the respondent:
(i) Name of the respondent:
(ii) Name of Father/Husband
(iii) Age of the respondent
(iv) Designation and particulars of office (name and station) in which employed
(v) Office Address
(vi) Address for service of notice.
3. Particulars of the order against which application is made.
The application is against the following order.
(i) Order No. with reference to Annexure
(ii) Date
(iii) Passed by
(iv) Subject in brief
4. Jurisdiction of the Tribunal:
The application declares that the subject-matter of the order against which he wants redressal is within the jurisdiction of the Tribunal.
5. Limitation:
The applicant declares that the subject-matter of is within the limitation prescribed in section 21 of the Administrative Tribunals Act, 1985.
6. Facts of the case :
The facts of the case are given below .
(Give here a concise statement of facts in a chronological order, each paragraph containing as.nearly as possible a separate issue, fact or otherwise).
7. Details or the remedies exhausted :
The applicant declares that he has availed of all the remedies available to him under the relevant service rule, etc.
(Give here chronologically the details of representations made and the outcome of such representation with reference to the Annexures numbers).
8. 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 of law or any other authority or any other Bench of the Tribunal and nor any such application, writ petition or suit is pending before any of them.
In case the applicant had previously filed any application, writ petition or suit, the stage at which it is pending and if decided the gist of the decision should be given with reference to the Annexure.
9. Relief(s) 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 ground for relief(s) and the legal provisions (if any) relief upon].
10. Interim order, if any prayed for :
Pending final decision on the application, the applicant seeks issue of the following interim order .
(Give here the nature of the interim order prayed for with reasons)
11. In the event of application being sent by 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/Inland Letter at which intimation regarding the date of hearing could be sent to him.
12. Particulars of Bank Draft/Postal Order in respect of the Application Fee :
1. Name of the Bank on which drawn
2. Demand Draft No. Or
1. Number of Indian Postal Order(s)
2. Name of the issuing Post Office
3. Date of Issue of Postal Order(s)
4. Post Office at which payable 13. List of enclosures
1.
2.
3.
4.
VERIFICATION
I…………………………………. (Name of the applicant) S/O, D/O, W/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 para ……………….. to …………………………………. believed to be true on legal advice and that I have not suppressed any materials fact.
Signature of the applicant
Dated:
Place:
To
The Registrar,
Andhra Pradesh Administrative Tribunal,
HYDERABAD.
FORM II
(See Rule 4(4))
RECEIPT SLIP
Receipt of the application final in the Central Administrative
Tribunal………………………………. Bench by Shri/Kum./Smt………………………………..working as……………………………….. in the Ministry/Department/Office of ……………………………….. residing at……………………………….. is hereby acknowledged.
for Registrar Andhra Pradesh Administrative Tribunal
Date:
Seal
IN THE ANDHRA PRADESH ADMINISTRATIVE TRIBUNAL
(See rule 8(3))
Misc. Application No………………………………. of…………………………in Original
Transferred Application No………………… of 19…………………………..XXX …………….. Applicant
(Applicant/Respondent)
Vs.
YYY ……………….. Respondent
(Respondent/Applicant)
Brief facts leading to the application :
Relief or Prayer:
Verification:
I …………………………………. (name of the applicant) S/o, D/o W/o …………………………………. age…………………………………. working as …………………………………. in the office of …………………………………. resident of …………………………………. do hereby verify that the contents para …………………………………. to …………………………………. are true on legal advice and that I have not suppressed any material fact.
Signature of applicant Signature of the Advocate
Place:
Date:
FROM IV
(See rule 25(2))
APPLICATION FOR THE REGISTRATION OF A CLERK
1. Name of legal practitioner on whose behalf one clerk is to be registered.
2. Particulars of the clerk to the registered
Attested passport size photograph to be pasted
(i) Full name: (in capital)
(ii) Father’s Name:
(iii) Age and Date of Birth :
(iv) Place of birth :
(v) Nationality
(vi) Educational qualifications:
(vii) Particulars of previous employment, if any :
I …………………………………. (Clerk above named) do hereby affirm that the particulars relating to me given above are true.
(Signature of Clerk)
3. Whether the legal practitioner has a clerk already registered in him employ and whether the clerk sought to be registered is in lieu of or in additional to be clerk already registered.
4. Whether the clerk sought to be registered is already 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 cost of Identity Card alongwith 2 passport size photographs of the applicant duly attested by me.
Signature of legal practitioner
Date:
To
The Registrar,
Andhra Pradesh Administrative Tribunal,
HYDERABAD.
Andhra Pradesh Administrative Tribunal (Procedure) Rules, 1989
