Form - 1
INDENT FOR NON-JUDICIAL STAMPS
Date:
Indent No:
  1. Name of the Applicant :

    Father’s/Husband’s Name & Address:

  2. For Whom stamps required :

    Father’s/Husband’s name & address, if any,

    Name & Address :

  3. Value of the Stamps & Denominations :

Signature of the Applicant
Stamps Received

Signature of the Applicant :

Date :