Honorable,

Chairman of the Committee

Raipur Union Parishad No. 4. Raipur Union Parishad

Raipur, Anwara, Chittagong.

Application Date:

Subject:

A. Complainant's name, Father's name and address:

B. Name of the defendant's name Father's name and address:

C. Witness's name, Father's name and address:

D Venue and time of the incident:

E. In brief, the description of the case and its claim and the candidate's remedies: -