Application to appeal in forma pauperis
(Order XLIV, Rule 1)

I,.................................................... the  …………………………… above-named, present the accompanying memorandum of appeal from the decree in the above suit and apply to be allowed to appeal as a pauper.

Annexed is a full and true schedule of all the movable and immovable property belonging to me with the estimated value thereof.

Dated the ……………………… day of  ………………….20………

Note. - Where the application is by the plaintiff he should state whether he applied and was allowed to sue in the Court of first instance as a pauper.

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