FORM FOR REFUND OF NON-JUDICIAL STAMPS/PAPERS 1. Full Name & Address of Applicant 2. No. & description of the non-judicial stamps (Court fee or impressed 3. Total value of the stamps/papers 4. Date of purchase of each stamp/papers 5. The place where and the person from whom the stamps/each stamp was purchased 6. Date of each stamp/papers spoiled or unfit for use. 7. Manner in which each stamp was spoiled or rendered unfit for use 8. Where the applicant is for refund or renewal 9. Date of application 10. Whether an other instrument between the same purpose etc. 11. Whether the application has immediate use of stamps refund or which has applied Signature of the Applicant.