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" دیباچه حقوقی " - نمونه برگ درخواست تجدید نظر (واخواهی )
چهارشنبه 20 شهریور 1392

نمونه برگ درخواست تجدید نظر (واخواهی )

   نوشته شده توسط: ندا ممبینی    نوع مطلب :نمونه فرم های قضایی ،

 

 

نمونه برگ درخواست تجدید نظر (واخواهی )

 

 

 

جزوه دان .........................

پرونده : ...........................

 

 

                                                                                                تاریخ ........ ماه ...... 13

                                                                                             شماره ثبت پرونده : ...........

 

 

طرفین

اسم

شهرت

شغل

محل اقامت

 

فرجام خواه یا پژوهش خواه

 

 

 

 

فرجام خوانده یا پژوهش خوانده

 

 

 

 

وكیل یا سرپرست یا ولی

 

 

 

 

محكوم به

 

شرح درخواست

 

نسبت به دادنامه كه در تاریخ ............... از دادگاه ............... شعبه .............. صادر شده و در تاریخ .................ماه ...... سال .... ابلاغ شده واخواه و درخواست رسیدگی .............. می شود رونوشت دادنامه و لایحه واخواهی و وكالتنامه كه جمعاً ........... برگ پیوست دادخواست می باشد.

 

 

 

محل امضاء

 

 

محل

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

صفحه دوم دادخواست تجدید نظر (واخواهی )

 

 

 

محل الصاق تمبر

 

 

 

 

 

 

 

 

 

 

 

 

 

 


1-      اسم مامور ابلاغ ..............................................................................................

2-      تاریخ تحویل دادخواست به مامور ..........................................................................

3-      اطاق رسیدگی : .............................................................................................

4-      موعد جواب كتبی : .........................................................................................

5-      تاریخ تبلیغ دادخواست : .....................................................................................


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