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Mandatory Annexure - Complaint u/s 138 NI Act

Please fill the form below, Click on Download button, duly filled mandatory Annexure will be generated & downloaded for filing with the complaint u/s 138 of NI Act in the concerned District Courts across India

Output Page Size: Legal
Orientation: Portrait
State:*
Please select a State
District:*
Please select a District
IN THE COURT OF*
Enter Complete Court Name
I. PARTICULARS OF THE PARTIES
Complainant:*
Please enter Complainant details
Accused:*
Please enter Accused details
(In case of company / firm: Registered Address, Name of MD / Partner, Name of signatory, and persons vicariously liable)
II. CHEQUE DETAILS
Cheque No.:*
Enter Cheque Number
Cheque Date:*
Enter Cheque Date
Cheque Amount:*
Enter Cheque Amount
Drawn on Bank / Branch:*
Enter Bank / Branch
Account No.:*
Enter Account Number
III. DISHONOUR
Date of Presentation:*
Enter Date of Presentation
Date of Return / Memo:*
Enter Date of Return
Reason for Dishonour:*
Enter Reason of Dishonour
Branch where Cheque Dishonoured:*
Enter Bank / Branch Name
IV. STATUTORY NOTICE
Date of Notice:*
Enter Date of Notice
Mode of Service:*
Enter Mode of Service
Date of Dispatch:*
Enter Tracking Number
Tracking No.:*
Enter Tracking Number
Proof of Delivery:*
Enter Proof of Delivery
Date of Delivery:*
Enter Tracking Number
Whether Served:*
Specify whether served or not
If not served, reason thereof:*
Specify reason
Reply to Legal Notice (if any):
Enter Reply otherwise write No
V. CAUSE OF ACTION
Date of Accrual:*
Enter Date of Accrual
Jurisdiction Invoked under Section 142(2):*
Please enter the jurisdiction details.
Whether any other complaint under Section 138 NI Act is pending between same parties (give Court, date, year):
Enter about other complalint otherwise write No
VI. RELIEF SOUGHT
Summoning of accused and trial under Section 138 NI Act:*
Enter Summoning Details
Whether award of Interim Compensation u/s 143A NI Act sought:*
Specify whether Interim Compensation sought
VII. FILED THROUGH
Complainant / Authorised Representative:*
Enter Filed Through Details
Counsel Name:* (Don't write Advocate with name)
Enter Counsel Name
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