Nalsa : Legal Service Management System

National Legal Services AuthorityLegal Services Management System

Indian Embelam

English हिंदी मराठी తెలుగు தமிழ் മലയാളം ગુજરાતી বাংলা ଓଡ଼ିଆ ಕನ್ನಡ
Mediation

APPLICATION FORM FOR MEDIATION

State * :		District * :
Application For * :	Mediation Pre-Institution

Applicant Details

Applicant Name * :
Applicant Address * :
Applicant Mobile Number * :
Applicant Email :

Another Applicant Details (if Any)

Applicant Name * :
Applicant Address * :
Applicant Mobile Number * :
Applicant Email :
delete Add Another Applicant	`Note : Not more than 5 Opposite Party.`

Applicant's Lawyer Details

Lawyer's Name * :
Bar Enrollment * :
Mobile Number for Contact * :
Email :

Opposite Party Details

Opposite Party Name* :
Opposite Party Address * :
Opposite Party Mobile Number * :
Opposite Party Email :

Another Opposite Party Details (if Any)

Opposite Party Name* :
Opposite Party Address * :
Opposite Party Mobile Number * :
Opposite Party Email :
delete Add Another Opposite Party	`Note : Not more than 5 Opposite Party.`

Lawyer Details of Opposite Party

Lawyer's Name * :
Bar Enrollment * :
Mobile Number for Contact * :
Email :

Case Details

Nature of dispute as per section 21(bc) of the Commercial Courts Act 2015 (4 of 2016)* :
Quantum of claim * :
Territorial Jurisdiction of the competent court * :
Brief Synopsis of commercial dispute * :
Fee Paid by DD No * :
DD Dated * :
Name of Bank and Branch * :
Online Transaction No * :
OT Dated *:

Attach Documents

Attach Document:			delete Add More
	`(pdf files only)` `Note : Consolidated size of uploaded documents should not exceed 10 MB.`