FORM - VI

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

Memorandum of Civil Miscellaneous Petition
(Under Section 17 of the Act)
(See Rule 12(1))

Civil Miscellaneous Petition No. ______________________

   Petitioner____________________________
                                                                    Versus
                                                                                             Respondent _________________________

Petition for review of the order of the High Court and passed in date _____________________ appeal against order 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 fact decided by the High Court :

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

(5) Fresh facts which were not before :
High Court when it passed the original order
(state facts briefly without a narrative)

(6) Question of fact now raised. :


(7) Question of law now raised. :

(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 and the question of facts and law raised. There should be no argument or narrative.