Application for Waiver of Court Fee

Applicant's name*

Applicant's address*

Court name*

Statement of financial circumstances*

Date of filing*

Format:

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IN THE [court_name] APPLICATION FOR PERMISSION TO SUE AS AN INDIGENT PERSON UNDER ORDER XXXIII, CPC Applicant: [applicant_name], residing at [applicant_address] Respectfully submitted: 1. That the Applicant is unable to pay the court fee prescribed for the suit intended to be filed, on account of the following financial circumstances: [financial_circumstances]. 2. That the Applicant therefore seeks permission to sue as an indigent person under Order XXXIII of the Code of Civil Procedure, 1908. PRAYER It is prayed that this Hon'ble Court be pleased to grant permission to the Applicant to sue as an indigent person, waiving the requirement of court fee. APPLICANT [applicant_name] Date: [filing_date]

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Application for Waiver of Court Fee

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