THE GAUHATI HIGH COURT (HIGH COURT OF ASSAM, NAGALAND, MIZORAM AND ARUNACHAL PRADESH) FILING FORM FOR OFFICE USE ONLY Date of Filing Filing No Case No

THE GAUHATI HIGH COURT (HIGH COURT OF ASSAM, NAGALAND, MIZORAM AND ARUNACHAL PRADESH) FILING FORM FOR OFFICE USE ONLY Date of Filing Filing No Case No. Case Type : Civili Criminai Caveat No. of extra Petitioners: Petitioner : Name : Gender : Male Female Other Age : years Dt. of Birth : (DD/MM/YYYY) Nationality: Occupation: Differently Abled: Yes No Address : Town : State Country Police Station : P (Extractive summary — verify with official source.)