{See Regulation 14 (b)}

(EMBLEM)

NATIONAL HUMAN RIGHTS COMMISSION  

(Law Division)

CASE NO. ________________________ /                                    Classification:

                                                                                                                                                Code No.

No. of connected cases, if any:                                                                         SECTION:

NAME OF COMPLAINANT:                                                                            SINGLE BENCH

                                                                                                                                DIVISION BENCH

STATE:  _______________________                                                          FULL BENCH

DISTRICT:  ____________________

SCRUTINY REPORT:  FORM NO. 1

FORM NO. 2

Date & Nature of Disposal:

OTHER INFORMATION, IF ANY: