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Rules,
Regulations
Supreme
Court Legal Services Committee Regulations, 1996
(Vide G.S.R.33369E), DATED 26TH July, 1996 published in the Gazette of India, Ext.pt.11,S.3(ii) dated 26.7.1996)
In exercise of the powers conferred by Section 29 of the Legal Services Authorities Act, 1987, the Central Authority hereby makes the following regulations, namely:-

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19.
AFFIDAVIT
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AFFIDAVIT
I
.....
..aged about
.years, son
of / daughter of / wife of
Shri
...............
..Resident
of
........................................
....
do hereby solemnly affirm and state as under:-
-
-
I belong to a member of a Schedule Castes/Scheduled Tribes.
-
I am a victim of trafficking in human beings or a beggar.
-
I am eligible for legal service as I am a woman/child.
-
I am a mentally ill or otherwise disabled person.
-
I am a person under circumstances of undeserved want being a victim of a mass disaster, ethic violence, caste atrocity, flood, drought, earthquake or industrial disaster.
-
I am an industrial workman.
-
I am in custody.
-
My annual income from all sources is below Rs.18,000/- (rupees eighteen thousand only).
(Delete whatever is not applicable)
-
I shall comply with any requisition and direction that may be made by the Secretary or any of the members of the Supreme Court Legal Services Committee.
-
I shall furnish full and true information of all facts of my case to the legal service advocate to be provided by the Committee.
-
I seek to approach the Honourable Supreme Court of
India -
-
in appeal from the Judgment
of
............
in
............
..
-
in writ jurisdiction
for
....................
(Delete whatever is not applicable)
[x x x x]
Omitted by G.S.R.150(E) dated 22.2.2000 (w.e.f.22.2.2000)
Renumbered by ibid (w.e.f.22.2.2000)
6.
I agree that my case be listed before Lok Adalat in Honourable Supreme Court, if at any stage it is considered by the Committee that my matter can be reconciled or settled through Lok Adalat.
DEPONENT
Verification :
I,
Shri. /Shrimati. /Kumari.
.............................
. the above named Deponent do hereby verify that the contents of the Paragraphs 1 to 4 are true and correct to my knowledge; nothing stated therein is false and nothing has been concealed. So help me God.
Verified on this day of
..199 at
.
DEPONENT.
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