VAKALATNAMA
(Rule 4(1) of the rules framed under the advocates Act, 1961)
IN THE HIGH COURT OF MADHYA PRADESH BENCH AT INDORE
Writ Petition No. _______________________ of 2021
Petitioner: _________________________________________
Versus
Respondent: ______________________________________
I/We ....................................... (Name of Petitioner) the Plaintiff/ Appellant/ Claimant/ Petitioner/
Applicant or Defendant/Respondent/Non-applicant named below do hereby appoint, engage and authorize
advocates(s) named below to appear, act and plead in aforesaid case/proceedings, which shall include
applications for restoration, setting aside of ex- parte orders, corrections, modifications, review and recall
of orders passed in these proceeding, in this court or in any other court in which the same may be
tried/heard/proceeded with and also in the appellate, revisional or executing court or in respect of
proceedings arising from this case/proceedings as per agreed terms and conditions and authorize him/them
to sign and file pleadings, appeals, cross-objections, petitions, applications, affidavits or other documents
as may be deemed necessary or proper for the prosecution/defence of the said case in all its stages and
also agree to ratify and confirm acts done by him/them as if done by me/us.
In witness whereof I/We do hereunto set my/our hand to these present, the contents of which have
been duly understood by me/us, this……. Day of …………….. 2021.
Particulars (in block letters) of each party executing Vakalatnama:-
Name & father’s/ Registered E-Mail Telephone Status in the Full Signature/
husband’s name Address address number case **thumb
(if any) (if any) impression
(1) (2) (3) (4) (5) (6)
Accepted: For Petitioner.
Particulars (in block letters) of each advocate accepting Vakalatnama:-
Full name & Address for service E-Mail address Telephone Full
enrollment no. (if any) number Signature
in the State Bar (if any)
Council
(1) (2) (3) (4) (5)
* Score out whichever is not applicable
** The thumb impression shall be attested by a literate person giving particulars.