Wms Form A - Affidavit printable pdf download

Wms Form A - Affidavit

WMS Form “A”

[see regulations 3(3), (4)]

For use by the complainant

BEFORE THE WAFAQI MOHTASIB,

Islamabad/Lahore/Karachi/Peshawar/Quetta/Sukkur/Multan/Faisalabad & D. I. Khan

Name & Address of the complainant _________________________________

______________________________________________________________

National Identity card No.__________________________________________

Telephone Nos., if any. ___________________________________________

Name of the Agency complained against ______________________________

______________________________________________________________

Main grievances requiring redressal:

(Detailed complaint is annexed)

Prayer _________________________________________________________

______________________________________________________________

A F F I D A V I T

I, _____________________________________________________ do hereby solemnly affirm:

That the facts mentioned in this complaint are correct to the best of my knowledge and belief.

That no complaint on this subject has previously been lodged with the Wafaqi Mohtasib by me,

or on my behalf, in the Head Office or any of the Regional Offices

That a complaint No: ____________ dated _______ has previously been lodged with the

Wafaqi Mohtasib on this subject.

That no suit, appeal, petition or other judicial proceeding in connection with the subject matter

of this complaint is pending in any court, tribunal or board

*That a suit, appeal, petition or other judicial proceeding in this connection is pending before the

________________________________ Case No:_____________

Omitted.

_______________________________________

Signature/Thumb Impression of the Complainant

Delete if not applicable.

Wms Form A - Affidavit