FOMU MADAI - 9
MAHAKAMA YA KWANZA
MAHAKAMA YA PILI
TAARIFA ZA MDAI
TAARIFA ZA MDAIWA
MAOMBI YA KUTENGUA AMRI YA KUFUTA SHAURI
TAREHE YA UWASILISHAJI
SAHIHI YA MDAI
Magistrates Court (Approved Forms for the Primary Court)

GN. NO. 943 (Contd.)
FOMU MADAI - 9

JAMHURI YA MUUNGANO WA TANZANIA

MAHAKAMA YA TANZANIA

Katika Mahakama ya Mwanzo ya Wilaya ya ....................................

Kituo cha ........................ Mkoa ........................

Shauri la Madai/Ndoa Na ................ /20 ..........

Jina la Mdai ................................

Jina la Mdaiwa ............................

Katika Mahakama ya Mwanzo ya Wilaya ya ....................................

Kituo cha ........................ Mkoa ........................

Shauri la Madai/Ndoa Na ................ /20 ..........

Jina la Mdai ........................................... Jinsia ................

Makazi ........................................... Umri ................

Anuani ya Makazi ........................................... Kazi ................

Simu ........................................... Barua Pepe ................

Jina la Mdaiwa ........................................... Jinsia ................

Makazi ........................................... Umri ................

Anuani ya Makazi ........................................... Kazi ................

Simu ........................................... Barua Pepe ................

MAOMBI YA KUTENGUA AMRI YA KUFUTA SHAURI

(Kanuni ya 28 ya Kanuni za Utaratibu wa Mashauri ya madai Mahakama za Mwanzo)

Tarehe ya kufutwa kwa shauri ........................ Sababu za maombi ya kutengua amri ya kufuta shauri:-

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Nathibitisha kwamba yote niliyoeleza hapo juu ni kweli kwa kadri nijuvyo.

Tarehe ...... Mwezi ...... Mwaka ...... Mahali ......

Sahihi ya Mdai

Imepokelewa leo hii Tarehe........ Mwezi ........Mwaka ........

Ada ya Mahakama

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Karani wa Mahakama