In the court of ________________
____________ Vs. ____________
Application for Refund of _________ charges i.e. Rs. ________/- lying deposited under account No. _______ dated ____________
1- That the above case is _________ in this Hon’ble court and is fixed for____________.
2- That the applicant deposited the diet money of Rs. __________/- for the ___________on__________. The _________ was not effected in the _________.
3- That now the applicant wants to withdraw the said amount from this Hon’ble court.
It is, therefore, prayed that the publication amount of Rs. ________/- may kindly be ordered to be refunded to the applicant/plaintiff.