APPLICATION TO APPEAL IN FORMA PAUPERIS

 

(O .44, r. 1.)

(Title)

I ______ the __________ above-named, present the accompanying memorandum of appeal from the decree in the above suit and apply to be allowed to appeal as a pauper.

Annexed is a full and true schedule of all the movable and immovable property belonging to me with the estimated value thereof.

Dated the _______ day of _______ 20____.

(Signed)

[Note:- Where the application is by the plaintiff he should state whether he applied and was allowed to sue in the Court of first instance as a pauper.]