FORM - V

Review In the High Court of Andhra Pradesh At Hyderabad
(Appellate Side)

Memorandum of Civil Miscellaneous Petition

(Under Section 16) (See Rule 12(1))

Civil Miscellaneous Petition No. ______________________

   Petitioner____________________________
                                                                    Versus
                                                                                             Respondent _________________________

Petition for review of the order of the High Court, dated__________________________and passed in

Civil Revision Petition No ________________________________________________

(1) Number and date of the order of the

High Court now sought to be reviewed :

(2) Date of communication of the order. :

(3) Question of law decided by the High Court :

(here formulate the decisions of the

High Court concisely)


(4) Fresh facts (which were not before

High Court concisely) :

(5) Question of law now raised, etc., :

(attach additional sheet, if necessary)

(Signed) Appellant(s)  
(Signed) Authorised Representative, if any
VERIFICATION

I/We ______________________________________________ the applicant(s) do hereby declare that what is stated above is true to the best of my / our knowledge and belief.

Verified  today the__________________________ day of____________________________________ 20______

(Signed) Appellant(s)  
(Signed) Authorised Representative, if any

Note:

1. The application should be accompanied by a certified copy of the order of the High Court sought to be reviewed.

2. The application should if it is preferred by a dealer be accompanied by a fee of Rs.500/-.

3. The application should be written in English and should set forth concisely and under distinct heads of fresh facts which were not   before the High Court at the time of passing original order.   There should be no argument or narrative.