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SUPREME COURT OF INDIA

APPLICATION FOR ISSUE OF ENTRY PASS

1. Name :
2. Age:
3. Father’s Name :
4. Permanent Address:

5. Present Address:

6. Recommended by: Manoj K. Mishra. Advocate-on-Record.

7. Pass required for entry to : Court No.


Item No.

8. Purpose of Visit: Case

9. Dated:
Signature of Applicant

Signature of the person recommending


the application with Seal/Stamp

Note: Passes will be issued on first come first serve basis and
subject to availability of seats in the Court Rooms.

SUPREME COURT OF INDIA


APPLICATION FOR ISSUE OF ENTRY PASS

1. Name :
2. Age:
3. Father’s Name :
4. Permanent Address:

5. Present Address:

6. Recommended by: Manoj K. Mishra. Advocate-on-Record.

7. Pass required for entry to : Court No.


Item No.

8. Purpose of Visit: Case

9. Dated:
Signature of Applicant

Signature of the person recommending


the application with Seal/Stamp

Note: Passes will be issued on first come first serve basis and
subject to availability of seats in the Court Rooms.

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