The Small Claims Tribunals Act

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Rule 9(1)
FORM 1
The Small Claims Tribunals Act
(CHAPTER 308)
CLAIM
A.
Particulars of Claimant:-
Name
: ______________________________________________
Address
: _____________________________________________
Singapore (
)
Tel: __________________
Fax: _________________
E-mail: ________________________________________
B.
I hereby give notice that I wish to lodge a claim against the following
respondent(s):-
Name
: ______________________________________________
Address
: ______________________________________________
Singapore (
)
Tel: __________________
Fax: _________________
E-mail: ________________________________________
C.
Particulars of Claim:
[Please complete the Annex]
Dated this ________________day of ___________________, 200_______
_________________________
Signature of Claimant
Name : ___________________
Designation: ______________
Claim No. ________________/________________200______
[Please see reverse]

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