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Online Legal Aid Application Form
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* Indicates required question
Name of the Applicant
*
Your answer
Father's/Mother's Name
Your answer
Category
Choose
Scheduled Caste (SC)
Scheduled Tribe (ST)
Other Backward Classes (OBC)
General
Minor
Female
Senior Citizen
Mentally Disabled
Physically Disabled
Gender
*
Female
Male
Transgender
Other:
Mobile Number (10 Digit)
*
Your answer
E-Mail
Your answer
Occupation
Your answer
Annual Income
*
Choose
Nil
Less than 3 Lakh
More than 3 Lakh
Address (Provide complete details like House Number, Sector etc.)
Your answer
State
*
Your answer
Type of Dispute for which Legal Aid is sought
*
Choose
Appeal against Interim Order
Appeal against Order of Revenue Authorities
Appeal against Order of Other Authorities
Appellate Jurisdiction
Application for Bail
Civil Appeal for against Orders of Courts
Civil Suits
Civil Writ Petition
Criminal Appeal against Orders of Courts
Criminal Appeals
Criminal Writ Petition
Execution Petition
Land Acquisition Matter
Matrimonial Disputes
Motor Accident Claims
Other Criminal Cases
Other Civil Cases
Parole Matter
Regular Second Appeal
Session Trial
Any other matter not listed above
Please Specify Any Other Matter, If Any
Your answer
Brief Details (For which legal aid is sought)
*
Your answer
Existing Case Details (If Any)
Your answer
Are you willing to settle the matter outside the court?
*
Yes
No
Maybe
Preferred Mode of Communication
*
Phone
Email
WhatsApp
Other
Details of The Mode of Communication
*
Your answer
Submit
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