Supreme Court Forms Modifiedlistingproforma

No. F.5/Judl(I)/2018, dated: 29/10/2018 
w.e.f. 29th October, 2018

ANNEXURE_X 

PROFORMA FOR FIRST LISTING 

SECTION ____  _ 

The case pertains to (Please tick/check the correct box}: 

Rule No(s} 

(cid:143)  Central Act:  (Title) 
(cid:143)  Section: 
(cid:143)  Central Rule:  (Title) 
(cid:143) 
(cid:143)  State Act:  (Title) 
(cid:143)  Section: 
(cid:143)  State Rule:  (Title) 
(cid:143)  Rule No(s) 
(cid:143)  Impugned Interim Order: (Date) 
(cid:143)  Impugned Final Order /Decree:  (Date) 
(cid:143) 
(cid:143) 
(cid:143)  Tribunal/ Authority:  (Name} 

High Court:  (Name) 

Names of Judges: 

1. 

Nature of matter: 

(cid:143)  Civil 

(cid:143)  Criminal 

2. 

(a)  Petitioner/ appellant No. l : 
(b)  e-mail ID: 
(c)  Mobile phone number: 

 3. 

(a)  Respondent No. l : _ _ _ ____ ____ __  _ 
(b)  e-mail ID: ____ _ _____ ____  _.___ __  
(c)  Mobile  phone number: __ __ ____ ___  _ 

4. 

(a)  Main category classification: _ __ ___  _ 
(b)  Sub classification: - - - - - - - - - - -
5.  Not to be listed before : - - - -- - - - - - - -

6. 

(a)  Similar disposed of matter with citation,  if any, &  case 

details: - - - - - - - -- -

(b)  Similar pending matter with case details: _ __ ___  _ 

7. 

Criminal Matters: 

(a)  Whether accu sed/convict has su1rendered: D Yes  D No. 

(b)  FIR No._ _________  Date: ____  _ 
(c)  Police Station: __________  _ 
(d)  Sentence Awarded: __ _______  _ 
(e)  Period of sentence undergone including period of 
detention/ custody undergone: _______  _ 

8. 

Land Acquisition Matters: 

(a) Date of Section 4  notification: ____ _  _ 
(b)  Date of S ection 6  notification: __ ___  _ 
(c) Da te of Section 17 notification: _ ___  _ 

9. 

Tax Matters: State the tax effect: - - - - - -

10.  Specia l Category (first petitioner/ appellant only): 
D  Senior Citizen>65 years  D SC/ST O woman/child D Disabled 
D  Legal a id  case  D In  cu stody 

11.  Vehicle Number (in case of Motor  Accident Claim m atters): 

Date: 

AOR for petitioner(s)/appellant(s) 
(Name) _ _  · ______  _ 
Registration  No. _ _____  _